Impact of provider-patient communication on cancer screening adherence: A systematic review.
Impact of provider-patient communication on cancer screening adherence: A systematic review.
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DOI：
10.1016/j.ypmed.2016.09.034
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发表时间：
2016-12
影响因子：
5.1
通讯作者：
Bylund CL
中科院分区：
文献类型：
--
作者：
Peterson EB;Ostroff JS;DuHamel KN;D'Agostino TA;Hernandez M;Canzona MR;Bylund CL
癌症筛查对于早期发现至关重要，缺乏筛查与晚期诊断和较低的生存率有关。本综述的目的是分析研究，重点是在宫颈癌，乳腺癌和结直肠癌的筛查行为的提供者-患者沟通的作用。在1992年至2016年期间，在四个在线数据库中进行了全面检索。当被研究的提供者是初级保健提供者并且沟通是面对面的时，研究被包括在内。检索得到3252条记录供审查，35篇文献纳入审查。研究分为三类：比较推荐状态与筛查依从性的研究;检查沟通质量与筛查行为之间关系的研究;以及使用提供者沟通改善筛查行为的干预研究。有压倒性的证据表明，提供者的建议显着提高筛查率。研究质量的沟通是异质性的方法，操作和结果，但建议提供信息和共享决策与筛选行为有显着的关系。干预研究同样异质性，并显示出积极的沟通干预筛选行为的结果。总体而言，结果表明，提供者的建议是必要的，但不足以最佳地遵守癌症筛查指南。高质量的研究表明，提供者与患者的沟通比简单的建议更微妙。围绕建议的讨论可能对一个人是否接受筛查的决定有重要影响。研究需要超越检查建议和依从性的研究，更多地关注沟通质量和筛查依从性之间的关系。
Cancer screening is critical for early detection and a lack of screening is associated with late-stage diagnosis and lower survival rates. The goal of this review was to analyze studies that focused on the role of provider-patient communication in screening behavior for cervical, breast, and colorectal cancer. A comprehensive search was conducted in four online databases between 1992 and 2016. Studies were included when the provider being studied was a primary care provider and the communication was face-to-face. The search resulted in 3252 records for review and 35 articles were included in the review. Studies were divided into three categories: studies comparing recommendation status to screening compliance; studies examining the relationship between communication quality and screening behavior; and intervention studies that used provider communication to improve screening behavior. There is overwhelming evidence that provider recommendation significantly improves screening rates. Studies examining quality of communication are heterogeneous in method, operationalization and results, but suggest giving information and shared decision making had a significant relationship with screening behavior. Intervention studies were similarly heterogeneous and showed positive results of communication interventions on screening behavior. Overall, results suggest that provider recommendation is necessary but not sufficient for optimal adherence to cancer screening guidelines. Quality studies suggest that provider-patient communication is more nuanced than just a simple recommendation. Discussions surrounding the recommendation may have an important bearing on a person's decision to get screened. Research needs to move beyond studies examining recommendations and adherence and focus more on the relationship between communication quality and screening adherence.
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影响因子：
254.7
作者：
Davis, TC;Williams, MV;Glass, J
通讯作者：
Glass, J
影响因子：
--
作者：
FOX, SA;SIU, AL;STEIN, JA
通讯作者：
STEIN, JA
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
5.5
作者：
Caverly, Tanner J.;Kerr, Eve A.;Saini, Sameer D.
通讯作者：
Saini, Sameer D.
影响因子：
3.4
作者：
Collazo, Tyson H.;Jandorf, Lina;Itzkowitz, Steven H.
通讯作者：
Itzkowitz, Steven H.